Bruce P.Robinson, MD
The non-surgical Liquid FaceLift procedure is one of our most popular cosmetic treatments because they deliver stunning immediate results without surgery or downtime. Dr. Bruce Robinson is proud to offer the best dermal fillers on the market to help you achieve your aesthetic goals. Injectables expert Dr. Bruce Robinson performs the procedure using cosmetic fillers to plump deep creases, minimize fine lines wrinkles & restore volume back in your face. Lifting sagging skin and restoring the natural shape of the face. The Liquid FaceLift treatment sculpts the face back to its original form while maintaining a natural look. Unlike a surgical facelift during Liquid FaceLift, there is no surgical cutting, removal, or repositioning of the tissues, and no stretching of the skin. It's you, only younger.
Did you know that many visible signs of aging can be traced back to volume loss? As facial tissues thin out, lines become etched around the nose, mouth and cheeks. Dermal fillers replace lost volume to help smooth wrinkles, diminish the appearance of dark circles under the eyes, turn up the corners of your mouth, undo the impression of unhappiness and restore a more youthful appearance.
Lip Enhancement fillers can restore volume and fullness in deflated and dehydrated lips turning "up" the corners of your mouth.
The results are immediate and natural; resulting in the WOW effect. Friends and family will comment on how well rested you look or inquire if you have changed your hair, often, without ever knowing what was done, as it truly "looks natural".
Give your skin a lift, without surgery and very little downtime. Schedule a dermal filler consultation today.
As we age, our skin inevitably loses its youthful appearance as the production of natural dermal volumisers such as hyaluronic acid (HA) diminish, leaving lines and wrinkles where our skin once was plump, youthful, and radiant. Today, the signs and symptoms of the natural ageing process can be reduced by replacing lost volume. While dermal fillers are casually known as "wrinkle fillers," they can do so much more!
How Can Dermal fillers Enhance My Appearance?
*Smooth out lines around the nose and mouth (a.k.a. marionette lines, smile lines and parentheses)
*Enhance and restore volume to cheeks, reduce the appearance of dark circles and sunken eyes
*Diminish vertical lip lines
*Plump and enhance lips
*Smooth out chin creases
*Improve symmetry among facial features. (e.g., define chin & jawline, non-surgical rhinoplasty or nose job)
What are Fillers Made With?
There are a variety of FDA approved filler products that cosmetic dermatologists use. A note for your safety, always make sure you are receiving FDA approved, brand name fillers, which are available ONLY through licensed physician's.
Which Filler Do I Need?
With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic dermatologist's guidance. Each product is uniquely formulated to have a certain texture, density and injection depth which means that certain fillers work better for certain areas of concern. Dr. Robinson will determine what product is best for you, the following diagram illustrates in general where board certified dermatologists tend to apply certain products:
What to Expect During Treatment
Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will discuss your concerns, goals and medical history with Dr. Robinson. While the risks associated with dermal fillers are minimal, you will need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions or medications can jeopardize your safety or results. For instance, you need to tell you doctor if you have been taking NSAID's (e.g., aspirin, ibuprofen, naproxen) or blood thinner, as these may increase the likelihood of bruising.
You may be given a topical anesthetic to numb the area prior to injection. although many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your doctor will then inject a precise amount of filler strategically beneath the skin.
Depending on the product and the areas treated, you should be able to notice subtle, natural looking results immediately. Some patients experience bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment
How Long Do The Results Last?
How long the effects of dermal filler will last depends on the product, the area treated and the individual patient. The results are not permanent making timing of when you receive your treatments essential. To maintain your results, Dr. Robinson will simply repeat treatment as needed, adjusting the amount and techniques as necessary to ensure optimal results.
Combining Botox and Filler - SWEET!
Botox and dermal fillers are very different types of injectables, however they complement each other quite nicely. When used together you can address multiple areas of the face simultaneously. Botox is typically used around the eyes and forehead, whereas dermal fillers are generally used on the middle and lower areas of the face. Using Botox and dermal fillers together can also prolong the results of treatment. In the long run you may even ending up saving money by combining the two treatments.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Laser treatments can be an ideal alternative for treating hyperpigmentation in addition to sun damage and fine lines. There are quite a few laser treatments on the market, but we're here to share information about Erbium laser resurfacing, a treatment that does it all and treats everything from wrinkles, acne scars to sun damage and brown spots/age spots. While this treatment provides a more youthful appearance it usually requires a week of down time.
Erbium laser resurfacing uses light energy and is designed to remove the upper most superficial layers. Removing brown spots and benign and precancerous bumps/growths. The Erbium laser results in a narrower area of heating of adjacent tissues compared with other laser skin-resurfacing methods. This results in a more focused removal of old skin cell layers. And this means that a benefit of Erbium laser resurfacing is minimal burning of surrounding tissue and fewer side effects such as swelling, bruising, and redness, so the recovery time should be faster than with CO2 laser resurfacing. During the healing process new collagen is generated for a more youthful appearance.
Helps reverse sun damage
Treats fine lines, wrinkles, and hyperpigmentation
Requires no downtime
Can be safer for lighter-toned Black, Hispanic, or Asian skin tones, Erbium laser resurfacing can sometimes be a good option. Patients with darker brown skin may need to consider other skin resurfacing options, such as radio-frequency treatments.
With the use of a potent topical anesthetic the Erbium laser treatment is well tolerated. Usually up to the first hour after treatment it feels like a bad sunburn. After which it may feel sore and have some bruising and mild swelling for a few days. Followed by a few days of skin flaking for another two to three days. Usually, the total recovery/healing on average takes about 10-14 days, depending on the problem and area that was treated.
Despite the downtime, the benefits are that you require fewer laser treatments to obtain your goal of smoother, younger looking skin.
If you're ready to treat skin concerns that your skincare routine cannot address, talk with Dr. Bruce Robinson about Erbium laser resurfacing.
Electrodessication can eliminate small growths without your friends knowing you had anything done. The rapid healing time and excellent cosmetic results make this a favorite treatment for our patients.
Do you dislike those brown wart like bumps around you eyes, face or breasts? Or the fleshy bumps on your neck? Electrodessication is an easy treatment with no down time that can eliminate these bumps usually in one treatment.
Electrodessication works by simply taking heat to melt these bumps within seconds.
Most patients do not need any anesthesia. For more sensitive patients we apply a topical anesthetic for 20 to 30 minutes before the treatment to eliminate most if not all discomfort.
Torn, split or long and droopy earlobe rejuvenation is an easy in-office procedure that takes approximately 30 minutes from start to finish. Under local anesthesia an enlarged earring hole is closed or a torn earlobe is restored. The sutures are removed in just one week. Dr. Robinson can re-pierce your ears 6 weeks later (see Pierced Ears). So go ahead and get those earrings you always wanted but couldn't wear.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
The Coren PS earpiercer painlessly pierces your earlobes and inserts a sterile, hypoallergenic, 24k gold ear stud.
You laugh, you frown, you concentrate... and over time, those expressions leave their mark upon you face. No one is immune to wrinkles. Just squinting in the bright sunlight or concentrating at a board meeting can create facial lines over time. Reveal a younger looking you by erasing fine lines and wrinkles while maintaining your ability to make natural facial expressions.
Dysport, a muscle relaxer, targets "expression" lines and wrinkles. Over time “dynamic wrinkles” created by muscle movement leave their mark on your face. Dysport injections temporarily relax the facial muscles that contribute to wrinkles every time they contract.
Dysport uses:
One ten-minute treatment – a few tiny injections – relaxes the muscles in your face that cause lines to form. There is minimal discomfort, many patients describe the injections as a pinprick or bug-bite sensation.
Within two weeks of treatment, targeted wrinkles begin to fade leaving skin looking more smooth and youthful. Improvements usually last between 3 to 6 months and can often be maintained with periodic touch-up treatments.
These quick, simple injections can effectively improve your facial wrinkles while maintaining your ability to make natural facial expressions, an essential part of what keeps you looking like you!
Men and women alike share a common desire to have healthy, youthful skin. Exposure to the sun and the elements in combination with adverse living habits contribute to the appearance of our skin. Chemical Peels are increasingly popular with those who are unhappy about acne scarring, sun-damaged skin, age spots, freckles, fine lines, rough skin and uneven pigmentation. A chemical peel is not limited to the face, and can be performed on the neck, chest, hands, arms, shoulders and leg with little or no downtime.
"All my life I had freckles on my face. Having a Chemical Peel changed that! Now my skin is smooth and clear!"
Chemical Peels are topically applied acids that aid in the restoration and rejuvenation of the skin's surface. They usually create an invisible uniform and controlled shedding of several layers of the skin. Depending on the nature and depth of the peel, a significant number of layers can be exfoliated allowing new growth to be exposed, creating a fresh vibrant appearance.
Your skin type and the results you are aspiring to achieve will determine if you are a candidate, as well as which class of peel is most appropriate for you.
Chemical peels can enhance your appearance by reducing blotchy and uneven pigmentation, fine lines and wrinkles, freckling, age spots, sun-damaged skin, and acne scars in a relatively brief measure of time. Chemical peels accelerate the production of new cells. Enjoy fresh smooth skin immediately after your first treatment.
Chemical peels have become increasingly popular because of the array of advantages and relative lack of complications, Side effects are rare and usually temporary. Some side effects include uneven pigmentation, redness, and very infrequent scarring if the skin is not cared for appropriately. Sun protection is crucial to minimize the risk of side effects. A treatment program of individually suited products and sun protection will benefit your skin's ability to maintain the results of the peel. You can decrease the likelihood of side effects by carefully following your post peel instructions.
Chemical peels are classified as superficial, medium, and deep peels.
This peel is designed to help smoothen coarse, dry skin, improve the texture of sun-damaged skin, and even out skin tone. The recovery is generally rapid and usually involves some minor flaking. A series of treatments is ordinarily recommended to obtain the desired result over a period of time. Typically, there is no down time and with appropriate sun protection, you can resume regular activities immediately.
Medium peels contain a stronger potency of acids. Medium peels target the epidermis and upper dermis and cause the skin to slough within 5 - 7 days. Immediately after treatment the skin has a red appearance and is occasionally accompanied by swelling. Within a day the skin turns brown in color and after 3 or 4 days the skin initiates the peeling process.
Deep peels produce the most dramatic results. This peel is recommended for treating wrinkles, scars, blemishes and, in some cases, precancerous skin lesions. A deep peel targets the dermis. In some cases, anesthesia is required during the procedure to reduce the warm to hot stinging sensation. After a deep peel, the skin is red and can result in some swelling and blistering. A crust may form and the skin will turn brown just prior to peeling. Many layers of the skin will peel over a period of one to two weeks. An ointment may be given to keep the area moist. Temporarily, the new skin will have the color and sensation of significant sunburn, which will gradually fade to your normal skin color.
Canthrone is an excellent treatment for warts, molluscum and other growths in the skin. It is painless and therefore preferred by many of our pediatric patients and adults who are adverse to even a little discomfort. It is usually applied with a Q-tip (for children we refer to it as a tickle stick) and then covered with paper tape or a bandaid. Patients are instructed to wash it off between twenty minutes to one hour later. Although several treatments may be required, Canthrone is the kindler and gentler treatment for these ailments.
You want to use a sunscreen that offers to help protect your skin from sunburn, early skin aging and skin cancer.
Dr. Robinson recommends the following tips:
Sunscreens need to be reapplied every two hours and immediately after swimming or exercising. No sunscreen can filter out 100% of the suns damaging UVB/UVA rays, however, using an SPF of 30 or higher can block out 97% of the sun's UVB rays.
Some sunscreen products are also available in combination with moisturizers. However, while these products are convenient, remember that sunscreen needs to be reapplied every two hours. Unfortunately, cosmetics/foundations with sunscreen, sit on top of the skin, and do not always allow the active ingredients in the sunscreen to deliver their full protection.
Sunscreen may also be sold in combination with an insect repellent. The AAD recommends purchasing and using these products separately. The reason for this is, when combined in a single product, the insect repellent can reduce the effectiveness of the sunscreen. It is recommended by the the CDC, that sunscreen should always be applied first followed by insect repellent.
However, keep in mind, sunscreen alone cannot fully protect you. In addition to wearing sunscreen, we recommend taking the following steps:
Seeking shade, wearing protective clothing — including a lightweight, tight-weave, long-sleeved shirt & pants, a wide-brimmed hat, and sunglasses with UVA & UVB protection — and using an adequate amount of sunscreen are all important behaviors to reduce your risk of skin cancer.
As the United States declares Monkeypox outbreak a public health emergency, NYC declares a local state of emergency due to the outbreak. The American Academy of Dermatology & The World Health Organization have put together a Task Force to address the growing outbreak of Monkeypox (orthopoxvirus) in the US. Monkeypox is a contagious disease caused by the Monkeypox virus. US Map and case count on the 2020 outbreak here ...
Anyone can get Monkeypox. It is primarily spread through close, physical contact between people. In the current outbreak, the Monkeypox virus is spreading mainly during oral, anal and vaginal sex and other intimate contact, such as rimming, hugging, kissing, biting, cuddling and massage.
Previous outbreak experience elsewhere suggests that the elderly, those with weakened immune systems, pregnant people, and children under 8 years of age may be at heightened risk for severe outcomes. Smallpox vaccine may help protect you against Monkeypox. Although, immunity may wain with age, it is estimated that the smallpox vaccine can be over 80% effective in preventing Monkeypox. Howevver, the vaccine for smallpox was discontinued in 1972 when it was eradicated in the United States. So therefore, anyone who is 49 years of age or younger most likely did not receive a smallpox vaccine.
The best way to protect yourself from Monkeypox is to avoid sex and other intimate contact with multiple or anonymous partners.
If you choose to have sex or other intimate contact, the following can help reduce your risk:
How to Protect Yourself and Others from Monkeypox (PDF)
Most cases are mild. Symptoms usually start within two weeks of exposure, but in some cases they may not appear for up to 21 days. If you have a new, unexplained skin rash or lesion(s)/bump(s) on your skin and you don’t know what caused it and think you may have Monkeypox, it is important to see your dermatologist quickly to prevent exposing more people. Eligible New Yorkers who may have been exposed to Monkeypox can now get vaccinated to stay safe and slow the spread.
Some symptoms include:
A person is contagious until all sores have healed and a new layer of skin has formed, which can take two to four weeks.
If you start experiencing symptoms, isolate at home immediately, ideally stay in a separate area away from other family members and pets and talk to your dermatologist.
The following may increase your risk for severe disease if you are infected: HIV; other conditions that weaken your immune system; and a history of atopic dermatitis or eczema. If you have one of these conditions, it is especially important to see a provider right away, if you have symptoms.
To protect others while you are sick:
Not every rash is Monkeypox. Dr. Robinson can make a diagnosis of Monkeypox by looking at the pattern on the skin and where the rash appears. Please let the office know ahead of your visit that you have a "new unexplained rash or lesions" and think you may have monkeypox. If Dr. Robinson suspects Monkeypox may be the cause of the rash, he will swab the rash and send it to a lab, where a polymerase chain reaction test will be performed.
There is treatment approved for Monkeypox. Most people get better on their own without treatment. However, antiviral medication(s) (TPOXX) may help. Your provider will help you find out if you are eligible for antiviral treatment. They may be able to prescribe medicine and provide information about symptom relief.
Vaccination after possible exposure ... Eligible New Yorkers who may have been recently exposed to Monkeypox can get the JYNNEOS TM vaccine. Vaccine is free and available regardless of immigration status. Information about eligibility for the vaccine and appointments can be found here.
Getting vaccinated after a recent exposure may reduce the chance of you getting Monkeypox and it can reduce the symptoms if you do get it.
People should get two doses, at least four weeks apart.
Information about eligibility for the vaccine clinic and appointments can be found here.
JYNNEOS Vaccine for Monkeypox: Frequently Asked Questions (PDF)
Additionally, here is a link to a letter published in the Journal of the American Academy of Dermatology (JAAD) that explains the symptoms and features of monkeypox. For more information about monkeypox, visit the AAD website.
